Job Description
Description
+ Review claims that have suspended or rejected during processing.
+ Identify reject reasons and apply documented procedures to resolve issues.
+ Research claims using internal systems and reference materials to determine the appropriate outcome.
+ Process claims accurately and within established turnaround time requirements.
+ Escalate complex or unresolved issues following defined procedures.
+ Maintain productivity and quality standards in a high-volume environment.
+ Communicate professionally when gathering or clarifying information needed to complete claim processing.
Skills & Qualifications
+ Previous claims experience is strongly preferred but not required.
+ Customer service.
+ Strong attention to detail.
+ Organization and time management.
+ Ability to multitask.
+ Accurate data entry.
We reserve the right to pay above or below th...
+ Review claims that have suspended or rejected during processing.
+ Identify reject reasons and apply documented procedures to resolve issues.
+ Research claims using internal systems and reference materials to determine the appropriate outcome.
+ Process claims accurately and within established turnaround time requirements.
+ Escalate complex or unresolved issues following defined procedures.
+ Maintain productivity and quality standards in a high-volume environment.
+ Communicate professionally when gathering or clarifying information needed to complete claim processing.
Skills & Qualifications
+ Previous claims experience is strongly preferred but not required.
+ Customer service.
+ Strong attention to detail.
+ Organization and time management.
+ Ability to multitask.
+ Accurate data entry.
We reserve the right to pay above or below th...
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